Article
Early Initiation of Dialysis Improves Survival: To Start or Not to Start
March 1, 2023
Clinical question: What is the ideal estimated glomerular filtration rate (eGFR) at which to start dialysis in patients with advanced chronic kidney disease? Background: Uncertainty exists over the...
Article
Bolus IV 0.9% Saline Leads to Interstitial Permeability Pulmonary Edema in Healthy Volunteers
March 1, 2023
Clinical question: Can intravenous fluid (IVF) administration cause direct lung injury independent of cardiogenic overload? Background: Bolus IVF therapy is a central component to managing...
Article
Effectiveness of Oxycodone Hydrochloride vs. Combination Acetaminophen and Codeine for Subacute Pain After Fractures Managed Surgically: A Randomized Controlled Trial
March 1, 2023
Clinical question: Do less potent opioids suffice for adequate pain control for patients with surgically managed fractures? Background: For post-surgical pain management at time of discharge,...
Article
Nutritional Support Improves Mortality in Frail, Elderly Patients
March 1, 2023
Clinical question: Is there a mortality benefit to optimizing nutritional status for malnourished patients with age-related frailty? Background: Age-related frailty syndrome has been associated with...
Article
Mirtazapine Administration Associated with Moderate Risk of Hyponatremia
March 1, 2023
Clinical question: What is the incidence of hyponatremia in patients treated with mirtazapine? Background: The development of hyponatremia has been associated with selective serotonin inhibitors and...
Article
Reflections Forward
March 1, 2023
Rising costs of care. Decreasing access to care. Inequities in access to quality care. Inequities in care. Systemic bias and racism. Polarizing politics. Decreasing resources. Aging systems. Aging...
Article
The Big Tent of Health Care Must be Bigger
March 1, 2023
As I feared in last year’s Editor’s Column, this past year has seen one crisis merge into successive crises, making our waking lives a nightmarish fever dream. Just when we thought we were...
Article
Connecting at Converge Via SIGs and Chapters
March 1, 2023
One of the many benefits of SHM membership is connecting and learning from fellow members. One of the best ways to do that is to join a Special Interest Group (SIG) or Chapter. SHM’s SIGs are...
Article
How Hospitals are Tackling Violence
March 1, 2023
Even before the onset of the COVID-19 pandemic, health care workers suffered more workplace injuries as a result of violence than any other profession, with approximately 654,000 harmed annually,...
Article
Removing the Barrier to OUD Treatment with Buprenorphine
March 1, 2023
“Never doubt that a small group of thoughtful, committed citizens can change the world; indeed, it’s the only thing that ever has.” — Margaret Mead Dr. Rogers They say there are...